UNC School of Medicine Clinical Professionalism Assessment

Name ______

Rotation______

Date______

Faculty Member ______

  1. Service through Patient Care: dedication to the availability of a uniform and adequate standard of care and the just distribution of finite resources; provision of compassionate care in respectful and honest relationships that support patient autonomy, confidentiality, dignity, and individual and cultural integrity.

Relationships with patients / Disrespectful, insensitive / Respectful, culturally sensitive / Enables inappropriate patient behavior
Confidentiality / Disregards patient confidentiality / Maintains patient confidentiality / Causes harm in name of confidentiality
  1. Ethics: application of key principles, values, and virtues to medical decision-making, with attention to the challenges introduced by emerging technologies, scientific advances, and inherent conflicts of interest.

Truthfulness / Falsifies data, cheats / Honest, forthright / Insensitive, tactless
Compliance / Ignores policies, misses sessions / Follows policies, attends sessions / Corrupts intent of policies, is inflexible
  1. Communication: development of the ability to listen to, speak and negotiate with, and write clearly for patients, families, colleagues, and community across differences of language, culture, class, education, and values.

Teamwork / Does not participate, is unprepared for teamwork / Functions as a team player / Authoritarian and overbearing
Interactions with colleagues / Insecure, unable to act independently / Respects authority, is trustworthy / Arrogant, over-confident, demeaning
  1. Responsibility: maintenance of personal integrity, accountability to self, patients, colleagues and community, and acceptance of medicine’s obligation to regulate itself as a profession.

Accountability / Avoids work, is tardy / Assumes duty, asks for help, is punctual / Takes on too much, unable to ask for help
Professional Demeanor / Inappropriately informal appearance and demeanor / Appropriate appearance and demeanor / Overly formal appearance and demeanor
  1. Continuous Improvement: ongoing education and skill improvement in support of professional competence and patient safety, evolving commitment to excellence and justice in systems of medical practice, and promotion of research that creates new knowledge and ensures its appropriate use.

Lifelong Learning / Minimum effort to enhance skills and knowledge / Appropriate effort to enhance skills and knowledge / Favors novelty at the expense of evidence-based medicine
Feedback / Makes excuses, blames others / Admits errors, seeks feedback and adjusts / Fears errors, requires pampering

Student meets all professionalism competencies

Please elaborate on these or other professionalism issues not listed above (use back if necessary):

Pilot July 2007